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Why Medication Reconciliation During Primary Care Visits Matters

Jeremy Goodie • April 16, 2025
0 minute read
medication reconciliation with primary care doctor

Managing medications can be complicated, especially for individuals with chronic conditions or those recently discharged from the hospital. Dangerous drug interactions can lead to serious side effects, hospital visits or worse. Reconciliation helps prevent complications for people who’ve recently started a new medication, had a dosage change or are managing multiple prescriptions.


Medication reconciliation is a critical process that makes sure healthcare providers have a complete and accurate list of all the medications a patient is taking. This step is especially important during transitions of care such as hospital discharges, emergency room visits or starting treatment for a new diagnosis.


What Is Medication Reconciliation?

Medication reconciliation is the process of reviewing and updating a patient’s medication list for accuracy and safety. It involves comparing the medications a patient is currently taking with any new prescriptions or changes made by different healthcare providers.


During medication reconciliation, a provider will:


●       Review all prescription medications, over-the-counter drugs, vitamins and supplements

●       Check for potential drug interactions or duplications

●       Confirm correct dosages and instructions

●       Ensure medications align with the patient’s current health conditions and needs


It’s important to be completely transparent with your doctor about any vitamins, supplements or other substances you’re taking. Your doctor isn’t your employer or law enforcement, and they’re prohibited from sharing information about recreational drug use or alcohol consumption.


When Is Medication Reconciliation Necessary?

While it’s important to keep track of your medications at all times, medication reconciliation is especially crucial during transitions of care, when the risk of errors is highest. Some common situations where this process is necessary include:


After a Hospital Discharge

If you’ve been hospitalized, your medications may have been changed, discontinued or adjusted during your stay. When you leave the hospital, it’s essential that your primary care doctor reviews any updates to confirm your prescriptions are appropriate and safe.


Following an Emergency Room (ER) Visit

ER doctors may prescribe new medications for pain relief, infections or other urgent health issues. These medications should be reviewed to make sure they don’t conflict with your regular prescriptions.


Starting Treatment for a New Diagnosis

If you’ve been diagnosed with a new condition such as high blood pressure, diabetes or depression, your doctor may prescribe medications that need to be carefully integrated with your current regimen.


Seeing a Specialist

Specialists, such as cardiologists or endocrinologists, may prescribe medications for specific conditions, but they may not always be aware of prescriptions from your primary care provide, making medication reconciliation necessary.


Managing Multiple Chronic Conditions

Patients with multiple chronic conditions often take several medications, increasing the risk of dangerous drug interactions. Regular medication reconciliation helps prevent complications.


Why Medication Reconciliation Matters

Preventing Drug Interactions and Side Effects

Some medications should never be taken together because they can cause dangerous side effects. For example, blood thinners combined with certain pain relievers can increase the risk of internal bleeding. A thorough medication reconciliation helps identify and prevent harmful interactions.


Avoiding Duplicate Medications

In some cases, different doctors may unknowingly prescribe medications with similar effects. Taking two medications that do the same thing, such as two different types of blood pressure medication can cause dangerously low blood pressure or other complications.


Ensuring Proper Dosage Adjustments

As health conditions change, medication doses may need to be increased or decreased. Medication reconciliation ensures you’re taking the right dose based on your current health status.


Reducing the Risk of Medication Errors

Studies show that medication errors are a leading cause of preventable harm in healthcare. These errors can result from miscommunication between providers, incorrect prescriptions or patient misunderstanding of instructions. Medication reconciliation reduces these risks by ensuring clarity and accuracy.


Improving Medication Adherence

Many patients forget to take their medications or stop taking them due to side effects. During medication reconciliation, your provider can discuss any concerns you have, address side effects and find alternatives if needed to make sure you stick to your prescribed regimen.


How Patients Can Help Give Accurate Medication Reconciliation


  • Keep an updated medication list – Write down all medications you take, including prescription drugs, over-the-counter medications, vitamins and supplements.

  • Bring medications to appointments – If possible, bring your pill bottles or packaging to your primary care visit for accuracy.

  • Mention any side effects or concerns – If you’re experiencing side effects or have trouble affording your medication, let your doctor know so they can adjust your treatment plan if needed.

  • Inform your doctor about medication changes – If a specialist or hospital has prescribed new medications, update your primary care provider at your next visit.

  • Ask questions – If you’re unsure about a medication’s purpose, dosage or potential interactions, don’t hesitate to ask your doctor or pharmacist.


Stay on Top of Your Medications With the Help of Our Primary Care Physicians in the Houston Area

At St. Hope Healthcare, we prioritize patient safety by carefully reviewing our patient’s medications. Whether you’re managing chronic conditions, recovering from a hospital stay or starting a new treatment, our team is here to help with comprehensive medication reconciliation and expert medical guidance.


Don’t let medication confusion put your health at risk. Schedule an appointment with St. Hope Healthcare today by calling (713) 778-1300.